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Good Sleep Quality Improves the Relationship Between Pain and Depression Among Individuals With Chronic Pain

Zambelli, Z; Halstead, EJ; Fidalgo, AR; Dimitriou, D; (2021) Good Sleep Quality Improves the Relationship Between Pain and Depression Among Individuals With Chronic Pain. Frontiers in Psychology , 12 , Article 668930. 10.3389/fpsyg.2021.668930. Green open access

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Abstract

Individuals with chronic pain often experience co-existing sleep problems and depression-related states. Chronic pain, sleep problems, and depression interrelate, and have been shown to exacerbate one another, which negatively impacts quality of life. This study explored the relationships between pain severity, pain interference, sleep quality, and depression among individuals with chronic pain. Secondly, we tested whether sleep quality may moderate the relationship between pain and depression. A cross-sectional survey was completed by 1,059 adults with non-malignant chronic pain conditions (M^{age} 43 years, 88% identified as women) and collected measures related to pain severity, pain interference, sleep quality, and depression. Multiple regression analyses found that pain severity, pain interference, and sleep quality are all significantly associated with depression. Secondly, moderated regression analyses revealed that sleep quality moderates the relationship between pain interference and depression among individuals with chronic pain such that good sleep quality attenuates the effect of pain interference on depression, and poor sleep quality amplifies the effect of pain interference on depression. These findings suggest that sleep quality may be a relevant therapeutic target for individuals with chronic pain and co-existing depression.

Type: Article
Title: Good Sleep Quality Improves the Relationship Between Pain and Depression Among Individuals With Chronic Pain
Open access status: An open access version is available from UCL Discovery
DOI: 10.3389/fpsyg.2021.668930
Publisher version: https://doi.org/10.3389/fpsyg.2021.668930
Language: English
Additional information: © 2021 Zambelli, Halstead, Fidalgo and Dimitriou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/).
Keywords: chronic pain, sleep quality, depression, moderation, pain interference, pain severity
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Psychology and Human Development
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10127574
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